不仅仅是山谷热：一名患者的肺放线菌病与球孢子菌病合并感染
More than Valley Fever: Pulmonary Actinomycosis and Coccidioidomycosis Co-infection in a Patient.
作者信息
Asif Abuzar A, Roy Moni, Ahmad Sharjeel
机构信息
Department of Internal Medicine, University of Illinois College of Medicine at Peoria, OSF Saint Francis Medical Center, Peoria, USA.
Section of Infectious Diseases, University of Illinois College of Medicine at Peoria, OSF Saint Francis Medical Center, Peoria, USA.
出版信息
Eur J Case Rep Intern Med. 2021 Jul 1;8(7):002664. doi: 10.12890/2021_002664. eCollection 2021.
UNLABELLED
Pulmonary coccidioidomycosis and pulmonary actinomycosis are unheard of as co-pathogens. Infection with these organisms on their own can mimic lung cancer, thus presenting a diagnostic challenge. We present the case of a 75-year-old woman presenting with haemoptysis with a chest CT chest finding of a lung mass suggestive of lung cancer. A diagnosis of concomitant infection by and was made based on culture and histopathology results. The patient was successfully treated with a combination of antifungal and antibacterial therapy. This is the first reported case of co-infection by these two microorganisms.
LEARNING POINTS
Pulmonary coccidioidomycosis and pulmonary actinomycosis can mimic lung cancer.The diagnosis of infection by and is best obtained by histopathology and tissue culture.Treatment comprises a combination of oral azoles and a beta-lactam antibiotic for a total of 12 months.
未标记
肺球孢子菌病和肺放线菌病作为共同病原体闻所未闻。单独感染这些病原体可酷似肺癌，从而带来诊断挑战。我们报告一例75岁女性，因咯血就诊，胸部CT显示肺部有一肿块，提示肺癌。根据培养和组织病理学结果诊断为同时感染[此处原文缺失两种病原体名称]。患者通过抗真菌和抗菌联合治疗成功治愈。这是首次报道这两种微生物合并感染的病例。
学习要点
肺球孢子菌病和肺放线菌病可酷似肺癌。[此处原文缺失两种病原体名称]感染的诊断最好通过组织病理学和组织培养来实现。治疗包括口服唑类药物和β-内酰胺类抗生素联合使用，共12个月。
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